Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2021

 
Dossier ID: LTE2187508
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Pathan Arbaj Ekbal
Mother's Name: Sultana  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 11 Apr 2002 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality: Indian

((Note: If you do not have passport, you may apply for it as early as possible as passport is mandatory at the time of admission.)

Place of Birth: Lamngaon Personal Identification Mark: None
Blood Group: B + Address for Communication: NEAR SUGAR FACTORY, KANKAWATI NAGAR, KANNAD Aurangabad city kannad city
State: Maharashtra Country: India
Pin: 431103 City/District: AURANGABAD
Mobile no: 7028283148 Telephone No. with STD code: 8975011741
Aadhar Card No: E-mail: pathanarbaj135@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: jahabaj pathan Relationship with candidate: Brother
Parents Date of Birth: 01 Jan 1985 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: NEAR SUGAR FACTORY, KANKAWATI NAGAR, KANNAD aurangabad city
Country: India State: Maharashtra
City/District: Kannad Pin: 431103
Tel: Mobile no.: 8975011741
Fax: Email: pathanjahabaj741@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 years Diploma in Mechanical Engineering Stream (Automobile / Machine Tools & Maintenance/Plant /Production Technology/Production Engineering/Advanced Diploma in Tool & Die making)
Year of Passing: 2017 Year of Joining: 2019
Board: Maharashtra Year of Passing: 2021
School Name: karmavir kakasaheb deshmukh vidyalay kannad Board: Maharashtra
City: Kannad Name of College/Institution: institute of engineering technology kannad
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 85 First year: 00
English: 68 Second year: 75
Address of School/College: NEAR SUGAR FACTORY, KANKAWATI NAGAR, KANNAD Third year: 91
Pin: 431103 Aggregate Percentage: 83
Contact Nos: 7028283148  
Email: pathanarbaj135@gmail.com  
 
Why do you wish to join TMI?: none
What are your hobbies?: none
What are your strengths?: none
What are your weaknesses?: nnone
How do you intend to meet the expenses of this program?: Bank Loan
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________